Bravo! BH -0133 Manual

A SERVICE OF

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6

MEMBER ELIGIBILITY

Anyone who meets the following criteria is eligible to enroll in one of Bravo Health’s HMO Benefit Plans.

• Must be enrolled in Medicare, both Part A and Part B.

• Must reside in one of the following Counties:

• Bexar

• El Paso

• Harris

• Must not have End Stage Renal Disease (ESRD) at time of enrollment.

To enroll in one of Bravo Health’s Private Fee-For-Service (PFFS) Benefit Plans, the Member must

• Be enrolled in Medicare Part A and Part B

• Reside in one of the following Counties:

• Atascosa

• Bexar

• Brazoria

• Chambers

• El Paso

• Fort Bend

• Galveston

• Guadalupe

• Harris

• Jasper

• Jefferson

• Liberty

• Medina

• Montgomery

• Orange

• Must not have End Stage Renal Disease (ESRD) at the time of enrollment

ELIGIBILITY VERIFICATION

All Participating Providers are responsible for verifying a Member’s eligibility at each and every visit.

Please note that Membership data is subject to change. CMS retroactively terminates Members for various

reasons. When this occurs, the Bravo Health claim recovery unit will request a refund from the Provider. The

Provider must then contact CMS eligibility to determine the Member’s actual benefit coverage for the date of

service in question.